Bleeding Disorders Flashcards
Treatment for ITP (5)
Corticosteroids, IVIG, splenectomy (source of platelet destruction), rituximab, thrombopoiesis stimulating drugs (romiplostim and eltrombopag)
Romiplostim
Use
Mechanism
Side effect
Used for ITP
“Peptibody”. Ig heavy chain fused to peptide analog of thrombopoietin
May cause marrow fibrosis
Eltrombopag
Use
Mechanism
Side effect
Used for ITP
TPO receptor agonist
May cause marrow fibrosis
Drugs that cause thrombocytopenia (5)
Penicilliin, quinine, quinidine, sulfa drugs, rifampin
Lupus anticoagulant aPTT INR Mixing study What neutralizes?
Prolongs aPTT
Sometimes lengthens INR
Does NOT correct w/ mixing
Neutralized by excess lipid or platelets
Lab effects of heparin
Long aPTT
Long thrombin time
Only long PT / INR at high levels
Does NOT correct w/ mixing (inhibitor)